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Showing results for "occur".
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdfJanuary 01, 2007 - minutes of trauma patients’ hospital reception and resuscitation.1 The types and causes of errors that occur … Omission errors are, in hindsight, events that occur through the natural progression of a disease, and … time and errors.8 Need for Decision Support Systems During trauma patient resuscitation, errors occur … Because so many errors occur during the time-critical and dynamic first 30 minutes of trauma patient
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-table8.pdfApril 21, 2015 - The authors concluded that headaches occur commonly in children and are diagnosed on a clinical basis
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/solberg.htmlApril 01, 2015 - while, it became clear that the following elements were necessary for primary care transformation to occur
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.htmlMarch 01, 2019 - Activities under each category will occur in 18 pilot practices.
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www.ahrq.gov/patient-safety/reports/liability/corbett.htmlAugust 01, 2017 - experience at least one medication discrepancy in the transition from hospital to home, and discrepancies occur … for all classes of medicines. 9-11 Medication discrepancies that occur during the transition from hospital … institution confirms the transfer and assumption of responsibility, 15 assigning liability for errors that occur … sub-theme of our focus group findings regarding patient harm and liability was that full disclosure should occur … When errors that result in harm occur, full disclosure is the best practice.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.htmlOctober 01, 2014 - Not having a falls assessment for a resident is like allowing an "accident waiting to happen" to occur
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/saworksheet.htmlDecember 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Self-Assessment Worksheet for Pressure Ulcer Prevention The Self-Assessment Worksheet is designed to help staff review how they currently identify residents who have experienced a change in pressure ulcer risk, how they determine if ne…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdfMarch 31, 2008 - Introduction Patient safety reporting systems (PSRS) are useful tools to understand the scope of errors that occur … research on errors in the primary care setting has focused principally on the types of errors that occur … results indicate what many have long suspected15 and what smaller studies9 have suggested: errors that occur … which were reported to a voluntary reporting system, might not be representative of all errors that occur
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What Exactly Is Patient Safety? (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdfJuly 02, 2008 - The realization that adverse events often occur because of system breakdowns, not simply because of … therapeutic interaction.2 It also created a locked-in paralysis for all concerned when failure did occur … It is in the microsystem where the “sharp end” resides, where patient- caregiver interactions occur, … High- reliability designs are resilient even when unpredictable events occur. … care has developed many of these barriers, and usually several must be breached for patient harm to occur -
www.ahrq.gov/patient-safety/reports/hotline/appa.htmlMay 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Appendix A. Recommendations for Ideal Consumer Reporting Systems Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consume…
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Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docxJune 01, 2021 - Over 90 percent of deaths associated with C. difficile infection occur in people over the age of 65, -
Saworksheet (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.docxJune 02, 2025 - On-Time Pressure Ulcer Prevention Self-Assessment Worksheet for Pressure Ulcer The Self-Assessment Worksheet is designed to help staff review how they currently identify residents who have experienced a change in pressure ulcer risk, how they determine if new clinical interventions are needed, and how they determine w… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdfJune 02, 2025 - ■ Tracheo-esophageal fistula may occur as a result of posterior wall erosion.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptxJune 01, 2021 - pharmacy alerts for allergies to antibiotics 4 Changing the System 4 Active Failures Errors that occur
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.htmlSeptember 01, 2022 - What are some reasons an error could occur related to your work environment?
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www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdfJanuary 01, 2024 - input on the checklist (i.e., checking off items), because checking is sometimes delayed or doesn’t occur
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docxJanuary 01, 2017 - In the fourth step, teams learn a process through which they can learn from the defects that occur in … exercise is used to identify potential barriers and vulnerabilities to the program success before they occur
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.htmlFebruary 01, 2017 - In the fourth step, teams learn a process through which they can learn from the defects that occur in … exercise is used to identify potential barriers and vulnerabilities to the program success before they occur
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.htmlAugust 01, 2017 - For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals … Pressure injury/ulcers can occur around the ears in a person using oxygen by nasal cannula. … For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals … Pressure injury/ulcers can occur around the ears in a person using oxygen by nasal cannula.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.htmlAugust 01, 2017 - For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals … Pressure injury/ulcers can occur around the ears in a person using oxygen by nasal cannula. … For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals … Pressure injury/ulcers can occur around the ears in a person using oxygen by nasal cannula.
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